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Quality of sleep in patients with schizophrenia is associated with quality of life and coping(in BMC Psychiatry, Vol. 5, No. 13)
Bibliografi
Author:
Hofstetter, John R
;
Lysaker, Paul Henry
;
Mayeda, Aimee R
Topik:
Schizophrenia
;
Disturbance
;
Psychiatry
Bahasa:
(EN )
Penerbit:
BioMed Central
Tempat Terbit:
London
Tahun Terbit:
2005
Jenis:
Article - diterbitkan di jurnal ilmiah internasional
Fulltext:
1471-244X-5-13.pdf
(243.78KB;
9 download
)
Abstract
Background: While sleep disturbance is widespread in schizophrenia it is less clear whether sleep
disturbance is uniquely related to impaired coping and perceived quality of life.
Methods: We simultaneously assessed sleep quality, symptoms, and coping in 29 persons with
schizophrenia or schizoaffective disorder in a post acute phase of illness. Assessment instruments
included the Pittsburgh Sleep Quality Index; the Positive and Negative Symptom Scale; the
Heinrichs Quality of Life Scale; and the Ways of Coping Scale. Multiple regressions were performed
predicting quality of life and coping from sleep quality controlling for age and symptom severity. On
a subset of seven subjects non-dominant wrist actigraphy was used as an objective check of their
self-reported poor sleep.
Results: Analyses revealed that poor sleep quality predicted low quality of life (r = -0.493; p = .022)
and reduced preference for employing positive reappraisal when facing a stressor (r = -0.0594; p =
0.0012). Actigraphy confirmed poor sleep quality in a subset of subjects. They had shorter sleep
duration (p < .0005), shorter average sleep episodes (p < .005) and more episodes of long
awakening (p < 0.05) than community norms.
Conclusion: The results are consistent with the hypotheses that poor sleep may play a unique
role in sustaining poor quality of life and impaired coping in patients with schizophrenia. These
associations may hold for community controls as well.
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